DEPARTMENT OF INSURANCE

Affiliations

Name	Burton, Jody Gary	DOIID	1055558	NAIC NPN	19283350

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	6/19/2023	8/31/2024
Active	Resident	Agent	Property	6/19/2023	8/31/2024
Active	Resident	Agent	Casualty	6/19/2023	8/31/2024
Active	Resident	Agent	Health	6/19/2023	8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/9/2020	3/4/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/9/2020	3/4/2022
Inactive	Erie Family Life Insurance Company	301400	Agent - Health	1/29/2020	7/29/2022
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	1/29/2020	7/29/2022
Inactive	Erie Insurance Company	300230	Agent - Casualty	10/30/2019	7/29/2022
Inactive	Erie Insurance Company	300230	Agent - Property	10/30/2019	7/29/2022
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	11/4/2019	7/29/2022
Inactive	Erie Insurance Company of New York	789916	Agent - Property	11/4/2019	7/29/2022
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	10/30/2019	7/29/2022
Inactive	Erie Insurance Exchange	300789	Agent - Property	10/30/2019	7/29/2022
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	11/4/2019	7/29/2022
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	11/4/2019	7/29/2022
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	11/4/2019	7/29/2022
Inactive	Flagship City Insurance Company	789965	Agent - Property	11/4/2019	7/29/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/9/2020	3/4/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/9/2020	3/4/2022
Inactive	Milbank Insurance Company	925185	Agent - Casualty	2/20/2020	3/19/2021
Inactive	Milbank Insurance Company	925185	Agent - Property	2/20/2020	3/19/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	5/26/2020	3/19/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	5/26/2020	3/19/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Big Agency LLC	883750	Agent - Casualty	10/30/2019	3/17/2021
Inactive	Big Agency LLC	883750	Agent - Property	10/30/2019	3/17/2021